What CytoSorb Therapy can mean for you
Our body is a very complex structure that works well as long as everything is in balance. However, it may become imbalanced and unable to regulate itself. When these problems occur, they need to be addressed quickly to prevent damage, i.e., extra substances in our bloodstream need to be removed to restore balance and enable the patient to stay healthy.
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When serious imbalances and associated illnesses occur, CytoSorb has been proven to help your doctor stabilize your system. CytoSorb can help protect vital organs, reduce bleeding complications, and promote faster recovery.
A brief overview of how CytoSorb works
CytoSorb works by making certain substances stick to it through a physical-chemical bond.
This is called adsorption. Think of it like a magnet that makes things stick to it and does not release them again. This is different from the process of filtration as used e.g. in dialysis, when specific substances are removed by the use of a filter medium.
CytoSorb adsorbs only specific substances and those that have a certain size.
CytoSorb captures only small to medium-sized molecules (up to a certain size) that have a specific kind of structure. Imagine CytoSorb as having millions of tiny holes that only let certain-sized molecules inside. And only those molecules will “stick” to CytoSorb as they have a particular characteristic: they do not like water.
The removal process depends on how much of these substances are present in your blood.
If there’s a lot, CytoSorb captures a lot of it. If there’s only a little, CytoSorb will only capture substances until they are in balance again. This balance is a bit like the way your body’s own cells control substance levels. CytoSorb is designed not to remove too much of the natural substances your body needs to function properly.
CytoSorb avoids catching larger substances such as albumin, coagulation factors, and immunoglobulins because they can't fit through its tiny holes.
The materials used in CytoSorb are friendly to your body and will not cause problems with your blood clotting or your immune system.
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CytoSorb works by making certain substances stick to it through a physical-chemical bond.
This is called adsorption. Think of it like a magnet that makes things stick to it and does not release them again. This is different from the process of filtration as used e.g. in dialysis, when specific substances are removed by the use of a filter medium.
-
CytoSorb adsorbs only specific substances and those that have a certain size.
CytoSorb captures only small to medium-sized molecules (up to a certain size) that have a specific kind of structure. Imagine CytoSorb as having millions of tiny holes that only let certain-sized molecules inside. And only those molecules will “stick” to CytoSorb as they have a particular characteristic: they do not like water.
-
The removal process depends on how much of these substances are present in your blood.
If there’s a lot, CytoSorb captures a lot of it. If there’s only a little, CytoSorb will only capture substances until they are in balance again. This balance is a bit like the way your body’s own cells control substance levels. CytoSorb is designed not to remove too much of the natural substances your body needs to function properly.
-
CytoSorb avoids catching larger substances such as albumin, coagulation factors, and immunoglobulins because they can't fit through its tiny holes.
The materials used in CytoSorb are friendly to your body and will not cause problems with your blood clotting or your immune system.
Here are some of the care areas where CytoSorb can help.
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Critical Care
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Cardiovascular Care
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Liver Care
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Kidney Care
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Critical Care
In the event of major surgery, severe injury, trauma, or infection, your body’s natural immune response may kick into overdrive. This phenomenon is known as hyperinflammation – a condition where your system attacks the entire body, doing more harm than protecting. CytoSorb helps to control this response and stabilize your system, so your doctor can focus on the treatment you need to recover.
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Cardiovascular Care
When managing a heart condition, part of your therapy may include medications like antithrombotics, which help prevent heart attack and stroke by thinning the blood. However, in planned or emergency surgery, these blood-thinner drugs can pose a risk of bleeding. CytoSorb helps remove these substances from your system so that you can be well on your way to healing.
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Liver Care
Liver dysfunction may have a variety of causes, including inherited conditions, infections e.g. with viruses, obesity, and alcohol abuse. When increased levels of liver toxins, such as bilirubin, accumulate in the bloodstream, your liver and other organs may suffer from toxic overload. CytoSorb helps remove these toxins so that liver function can be recovered more easily.
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Kidney Care
Muscle injury or breakdown – resulting from trauma, infection, or medication – may lead to release of a protein called myoglobin, which normally carries and stores oxygen in the muscles, into the bloodstream. This can result in kidney injury. CytoSorb helps reduce myoglobin levels and can be used preventatively to protect the kidney from damage or to help manage kidney failure, alongside dialysis to support the recovery of your kidneys.
Additional Information
- Jansen et al., Crit Care 2023; 27(1):117
- Diab et al., Circ 2022; 145(13):959-968
- Scharf et al., Sci Rep 2021; 11(1);10190
- Albrecht et al., Blood Purif 2024; 53(2):88-95
- Hassan et al., JTCVS Open 2023; 15:190-196
- Chen J et al, Regenerative Biomaterials 2017; 4(1):31-37
- Waalders et al., Crit Care Med 2024; 52(4):e152-e153
- Bernardi et al., Crit Care 2016; 20(1):96
- Poli et al., Crit Care 2019; 23:108
- Gleason et al., Sem Thorac Cardiovasc Surg 2019; 31(4):783-793
- David et al., J Int Care 2017; 5:12
- Kogelmann et al., J Clin Med 2024; 13(1):294
- Soltesz et al., J Clin Med 2022; 11(12):6517
- Rugg C et al., Biomedicines 2020; 8(12):539
- Szigetvary et al., Biomed 2023; 11811):3068
- Riva et al., J Artif Orgs 2023; epub
- Grafe et al., Ren Fail 2023; 45(2):2259231
- Hassan et al., Ann Thor Cardiovasc Surg 2022; 28(3):186-192
- Hassan et al., Ann Thorac Surg 2019; 108(1):45-51
For further information and help, please contact your doctor and ask about CytoSorbents’ therapies.
Voices around the world
Dr. Heinz Jakob
Essen, GermanyListen to Dr. Heinz Jakob talk about his experiences with CytoSorb Therapy.
Dr. Filipo Aucella
Italy, San GiovanniWhen we started to use CytoSorb®, we were very impressed by the rapid decrease of myoglobin concentrations, and the renal damage also improved very rapidly.
Dr. Maria Grazia Calabro
Italy, MilanCytoSorb is effective in reducing bilirubin, creatinine, and lactate in patients who are critically ill, mainly due to cardiogenic shock.
Dr. Tobias Hübner
Switzerland, MünsterlingenThe reason for us to use CytoSorb in the ICU was the lack of treatment options. We never had anything in sepsis, and CytoSorb® is the new star on the horizon.
Dr. Gabriella Bottari
Italy, RomeWe have applied CytoSorb in critical ill children with septic shock, with very good results.
Dr. Mihai Popescu
Romania, BucharestOur results show a potential benefit of CytoSorb in rebalancing liver function in patients with liver failure compared to MARS.
Dr. Serdar Gunaydin
Turkey, AnkaraOne of the most important indications for us to use CytoSorb® in is cardiac surgery, as it has also been cited in many guidelines.
Dr. Willem Pieter Brouwer
The Netherlands, RotterdamIntervention with CytoSorb may be associated with decreased all-cause mortality at 28 days compared to continuous renal replacement therapy alone.
Prof. Jean Louis Vincent
Belgium, BrusselsI would like to send my congratulations on the 10th anniversary of CytoSorb®. It is great how you have created a new way of blood purification therapy.
Juan Carlos Ruiz-Rodriguez
Spain, BarcelonaThis case highlights that cytokine hemoadsorption can lead to a rapid decrease in IL-10 levels, and significant hemodynamic improvement was achieved.
Dr. Gabriella Bottari
Italy, RomeHemoperfusion with CytoSorb in combination with continuous kidney renal therapy is a valuable therapeutic option in sepsis-associated acute kidney injury.
Dr. Askhat Saparov
Kazakhstan, AstanaCytoSorb was safe and well-tolerated in a pediatric patient and has proven its value as an adjuvant therapy for sepsis in pediatric patient populations.
Prof. Peter Pickkers
The Netherlands, NijmeganThe treatment with the CytoSorb® adsorber does reduce circulating concentrations at day one.
Dr. Abdulrahman Alharthy
Saudi Arabia, RiyadhIn this retrospective case series, CRRT with CytoSorb provided a safe rescue therapy in COVID-19 with associated AKI, ARDS, sepsis, and hyperinflammation.
Dr. Kai Singbartl
USA, PhoenixThe case represents the first successful application of CytoSorb in severe refractory neurotoxicity following treatment with chimeric-antigen-receptor T cells.
Dr. Henriette Roed-Undlien
Norway, OsloIn this in vitro study, apixaban levels were effectively reduced, and the clotting time and thrombin generation assays were normalized by the use of CytoSorb.
Dr. Aleksandr Burov
Russia, MoskowThis case series demonstrates that combined blood purification therapy including CytoSorb may have a role for septic shock patients with primary brain injury.
Prof. JW Awori Hayanga
USA, MorgantownIn COVID-19 ARDS on VV-ECMO + hemoadsorption, 90-day survival 74% and early intervention associated with shorter organ support, supporting “enhanced lung rest”.
Dr. Haider Ghaidan
Sweden, LundCytoSorb restored lung function and reduced PGD in lung transplantation. We suggest this treatment will increase tolerability of donor lungs in recipients.
Dr. Pawel Piwowarczyk
Poland, LublinCytoSorb Therapy was able to facilitate long-term regain of balance between inflammatory process, cytokine production, and bilirubin turnover in the liver.
Dr. Anna Krakowiak
Poland, LodzIn the event of poisoning with inorganic mercury compounds, CRRT using CytoSorb as an extracorporeal blood purification method may be considered.
Dr. Vanja Persic
Slovenia, LjubljanaUse of CytoSorb in shocked SIRS patients was associated with rapid IL-6 decrease and hemodynamic improvement, with improved observed vs predicted survival.
Dr. Simao Rodeia
Portugal, LisbonCytokine adsorption therapy with CytoSorb was employed with no direct complications, and helped control the inflammatory state.
Dr. Christopher Rugg
Austria, InnsbruckCatecholamines decreased within 24 h after initiation of CytoSorb Therapy; in-hospital mortality was significantly lower in the CytoSorb group (35.7% vs 61.9%).
Perfusionist Anna Holmen
Sweden, GothenburgThe accumulated norepi dose in the CytoSorb gp was half or less at all postop time points compared to controls..with significantly lower need for RBC.
Assoc. Prof. Berna Kaya Ugur
Turkey, GaziantepUse of CytoSorb achieved significant decreases in endocan, copeptin, IL-6, procalcitonin and C-reactive protein levels.
Dr. John Ferdinand
UK, CambridgeOur data suggest that adsorption of pro-inflammatory mediators from perfusate with CytoSorb represents potential intervention which may improve organ viability.
Prof. Dana Tomescu
Romania, BucharestThe use of CytoSorb in patients with severe acute pancreatitis was associated with improved hemodynamics and decreased inflammatory markers.
Dr. Arosha Minori Gunasekera
Sri Lanka, ColomboThis patient with acute liver failure was managed successfully with supportive therapy, aided by CytoSorb hemoadsorption and therapeutic plasma exchange.
Dr. Endre Nemeth
Hungary, BudapestIntraoperative hemoadsorption associated with better hemodynamics, lower post-op AKI and RRT, stable bilirubin, and shorter mechanical ventilation time and ICU
Dr. Fatime Hawchar
Hungary, SzegedThe first trial to investigate the effects of early extracorporeal cytokine adsorption treatment in septic shock applied without renal replacement therapy.
Dr. Wun Fung Hui
Hong Kong, Hong KongHemoadsorption with CytoSorb can be considered as an adjunctive therapy for children with severe rhabdomyolysis-associated acute kidney injury.
Dr. Maroua Eid
France, AngersThis case describes the successful use of CytoSorb with CRRT and extracorporeal life support in a combined way to overcome a critical phase of septic shock.
Dr. Marine Peyneau
France, ParisCytoSorb appears to be safe and promising to fight post-lung transplantation inflammation, and should be re-evaluated in a larger study.
Dr. Daniel Lovric
Croatia, ZagrebThis is the first study showing an increase in urinary output and a trend towards better survival among patients on VA ECMO treated with CytoSorb.
Prof. Pedja Kovacevic
Bosnia and Herzegovina, Banja LukaThis case series describes potential positive effects of hemoadsorption in preventing the development of systemic hyperinflammation after vvECMO in ARDS.
Certified Clinical Perfusionist Martin Clerici
Argentina, Buenos AiresIntraoperative use of CytoSorb® in an endocarditis patient with extensive cardiovascular history was associated with improvements in the hemodynamic situation.
Prof. Dorel Sandec
Romania, TimisoaraWe treated more than 75 patients with CytoSorb® because we realized, we feel, we see, we measure a significant effect on the evolution of the patient.
Dr. Voyka Gorjup
Slovenia, LjubljanaThe most prominent clinical effect is the lowering of vasopressors, hemodynamic stability, lowering of interleukins and in those patients who are on vvECMO…
Dr. Candido Amador
Panama, Panama CityIn my experience the vasopressor doses decreased, biomarkers of sepsis (…) and the inflammatory response as well as multiple organ function improved.
Assoc. Prof. Monir Sadat Hakemi
Iran, TehranIt seems that applying the CytoSorb in combination with CRRT in ICU septic patients with AKI is correlated with a significant decrease in mortality.
Dr. Yatin Mehta
India, GurgaonCytoSorb is indicated for use in conditions where elevated levels of cytokine and/or bilirubin and/or myoglobin exist.
Dr. L. Christian Napp
Germany, HannoverIn the most critically ill patients on ECMO support, we observed a drop in catecholamine demand and an improvement in clinical state on ECMO.
Prof. Steffen Mitzner
Germany, RostockWhat strikes you first is that you can stabilize patients in septic shock.